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Clinical Financial Case Manager - RN
A company is looking for a Clinical Financial Case Management - RN. Key Responsibilities Implement and support clinical pre-certifications, case reviews, and denial management Utilize clinical knowledge to interpret medical necessity guidelines and determine appropriate levels of care Serve as a Subject Matter Expert for assigned payers and maintain awareness of healthcare trends and guidelines Required Qualifications Bachelor's degree in nursing with a current license Minimum of 3 years of clinical care experience Experience collaborating with physicians and understanding care plans Strong analytical skills and ability to make informed decisions Proficiency in Microsoft Office and various technology applications
A company is looking for a Clinical Financial Case Management - RN.
Key Responsibilities
Implement and support clinical pre-certifications, case reviews, and denial management
Utilize clinical knowledge to interpret medical necessity guidelines and determine appropriate levels of care
Serve as a Subject Matter Expert for assigned payers and maintain awareness of healthcare trends and guidelines
Required Qualifications
Bachelor's degree in nursing with a current license
Minimum of 3 years of clinical care experience
Experience collaborating with physicians and understanding care plans
Strong analytical skills and ability to make informed decisions
Proficiency in Microsoft Office and various technology applications